protocols

Question 1

For an adult trauma alert patient a GCS of ____or less would make it a Trauma Alert?

Answer 1

12

Question 2

What is the correct dose of Amiodarone for treating PVCs in an adult patient and how is it administered?

Answer 2

150 mg
150 mg into a 50 ml D5W bag over 10 min.

Question 3

What should you consider before giving Nitro?

Answer 3

BP less than 90
Pt with increased ICP
Pt taking ED meds

Question 4

Where do you insert the needle when you are performing a chest decompression to relieve a tension pneumothorax?

Answer 4

Between the 2nd and 3rd rib just above the 3rd rib.

Question 5

What med would you consider to use to treat a 25 y/o pt with altered mental status, decreased respirations, and pinpoint pupils?

Answer 5

Narcan 2 mg IV/IM

Question 6

What area of the heart is affected by a 12 lead with ST elevation in lead V1, V2, V3?

Answer 6

Anteroseptal

Question 7

What area of the heart is affected by a 12 lead with St elevation in lead II, III, AVF?

Answer 7

Inferior

Question 8

The “normal” range for end tidal CO2 is?

Answer 8

35-45

Question 9

What is the BSA % of burns for an adult patient that has burns to front of both arms?

Answer 9

9%

Question 10

What is the minimum burn criteria an adult pt must meet to qualify for trauma alert criteria?

Answer 10

15% of 2nd or 3rd degree burns

Question 11

What is the 1st dose of Amiodarone for a cardiac arrest pt in VF and how is it given?

Answer 11

300 mg IV push

Question 12

If you have to give a 2nd dose of Amiodarone for a pt in VF what is the correct dose?

Answer 12

150 mg IV push

Question 13

How would you treat a 30 y/o woman having a severe allergic reaction to peanuts? ie her skin is red, she has hives, lips are swollen, and having trouble breathing?

Answer 13

Epi 1:1,000 .3-.5 mg IM
Benadryl 50 mg IM or slow IV push
Albuterol 2.5 mg neb
May repeat Epi

Question 14

What med is used to treat stable SVT with a rate of 180 bpm and how is it administered?

Answer 14

Adenocard 12 mg IV in the AC followed y 20cc flush

Question 15

You perform a 12 lead on a pt with ST elevation in lead II, III, AVF. You then perform a 2nd 12 lead using V4r lead placement and the V4r lead is positive. What should you avoid doing for the pt with chest pain?

Answer 15

Avoid giving nitro

Question 16

What is a positive V4r an indication of (area of the heart) when you have ST elevation in leads II, III, AVF?

Answer 16

Right Ventricular Infarction

Question 17

How would you treat a full term pregnant woman that is hypertensive and having a seizure?
What do you suspect is wrong with the pt?

Answer 17

Magnesium Sulfate 4 gm IV mixed in 50 ml bag of D5W and administered over 5-10 min.
Eclamptic seizure

Question 18

If you give Adenosine using an external jugular vein as your IV access point what is the initial dose and 2nd dose if necessary?

Answer 18

6 mg, 6 mg

Question 19

List 5 of the single injury criteria that meets the State of Florida Trauma Alert guidelines for an adult trauma pt.

Answer 19

Active airway assistance required
No radial pulse with sustained HR >120 or BP<90
Multiple long bone fx sites
2nd or 3rd degree burns > 15% BSA
Electric burns regardless of area
Amputation proximal to wrist or ankle
Penetrating injury to head/neck/torso
BMR <4 or exhibits presence of paralysis or suspicion of spinal cord injury or loss of sensation.

Question 20

You are called to a 70 y/o pt with a cardiac history (nka) who tells you they’re short of breath. The SOB started 30 min ago and rapidly became worse. The pt. is sitting in a chair. You are listening to lung sounds and hear rales in both lungs. What condition do you suspect?
How would you treat the pt if they were in sever respiratory distress?

Answer 20

CHF
IV, CPAP, nitro